Organization
ETELRX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD WARNACK (CEO)
(586) 498-7600
Entity
Organization
Contact information
Practice address
21811 KELLY RD STE 103, EASTPOINTE, MI 48021-2793
(586) 498-7600
(586) 498-2011
Mailing address
21811 KELLY RD STE 103, EASTPOINTE, MI 48021-2793
(586) 498-7600
(586) 498-2011
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301007233
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2361599
—
MI
Enumeration date
01/08/2007
Last updated
08/22/2020
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